Active NPI
Alice M Phelps
- Family Psychologist
- Cincinnati, OH
National Provider Identifier
1871097675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- RU320919
- Practice address
- 9909 Trapp LN
Cincinnati, OH 45231-2157 - Phone
- (513) 648-0692
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | RU320919 | OH | Primary |
Addresses
Primary practice location
9909 Trapp LN
Cincinnati, OH 45231-2157
Mailing address
9909 Trapp LN
Cincinnati, OH 45231-2157
Phone (513) 648-0692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1967 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RU320919 | OH | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1871097675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9909 TRAPP LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452312157",
"telephone_number": "513-648-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9909 TRAPP LN",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452312157",
"telephone_number": "513-648-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "ALICE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-19",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OH",
"license": "RU320919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1967",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.